# SOUTHFIELD REHABILITATION COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OAKLAND NURSING CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386625143
- **Authorized official:** DR. EDWARD F. BURKE D.O. (PRESIDENT)
- **Authorized official phone:** (248) 423-5111

## Contact information

- **Practice address:** 22401 FOSTER WINTER DRIVE, SOUTHFIELD, MI 48075-3724
- **Practice address phone:** (248) 423-5100
- **Practice address fax:** (248) 423-5195
- **Mailing address:** PO BOX 674073, DETROIT, MI 48267-4073
- **Mailing address phone:** (586) 582-0864
- **Mailing address fax:** (586) 576-0393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 634550 | MI | Yes |

## Other

- **Enumeration date:** 11/09/2005
- **Last updated:** 01/26/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 027879 | MIDWEST HEALTH PLAN | MI |
| 01 | — | 09560 | BLUE CROSS BLUE SHIELD | MI |
| 01 | — | 1031384 | MCLAREN HEALTH PLAN | MI |
| 01 | — | 135598503 | U.S. DEPARTMENT OF LABOR | MI |
| 05 | — | 289797960 | — | MI |
| 01 | — | 34692 | HEALTH PLAN OF MICHIGAN | MI |
| 05 | — | 602897979 | — | MI |
| 01 | — | 6330390 | AETNA | MI |
